The invention discloses a urology extracorporeal lithotripter ultrasonic probe rod adjustment structure and its use method, comprising a lithotripter, the mechanical arm end of the lithotripter is detachably equipped with an ultrasonic detection mechanism, and the ultrasonic detection mechanism It includes a bracket, a free-stop rotating shaft, a mobile unit, an ultrasonic probe, a dial and a sealing unit. The top of the bracket is screwed to the end of the mechanical arm of the rock crusher, and the opposite ends of the bracket are provided with a free-stop rotating shaft. The other side of the free-stop rotating shaft is screwed to the side wall of the mobile unit, and the inner side of the mobile unit is fixedly connected to the outer wall of the ultrasonic probe. In clinical use, it can realize the manual multi-directional movement of the ultrasonic probe, which is convenient for doctors to operate and facilitate the operation. In addition, it can realize the sealing of the bottom of the ultrasonic probe, protect the ultrasonic probe, prolong the service life of the ultrasonic probe, and avoid the impact Image quality of ultrasound probes.